Organization
BOLAT INCORPORATED
Active
Other names
Bethel Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OMOLOLU ALLISON (DIRECTOR)
(909) 205-9809
Entity
Organization
Contact information
Practice address
1959 SHAWNEE RD STE 215, EAGAN, MN 55122-1220
(651) 207-5290
(651) 330-4795
Mailing address
7070 UPPER 157TH ST W, APPLE VALLEY, MN 55124-5121
(651) 207-5290
(651) 330-4795
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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